Surgical Sur Surgical Dislocation

Mean follow-up was 117 months. 86% are male. Average age of 26 years at surgery. 35 patients had partial meniscectomy (53% internal, 31% external, 16% bimeniscal). A significant improvement (p<0.001) between pre and postoperative parameters was demonstrated (pre-operative mean IKDC score 47 points; post-operative 94 points). 92% perform moderate demand activities, of which 40% returned to pre-injury activity levels without complaints. An increase in the time between rupture of the ACL and surgery was not associated with higher rates of meniscal lesions, osteoarthritis or lower IKDC scores. There was a correlation between clinical results and associated meniscal or chondral lesions. Clinically 6% had symptoms/signs of anterior instability (Lachman 2 A). Radiologically 25% had an anterior displacement of the tibia with an average distance of 3.9 mm [3.3-7.2]. 10% shown femoral tunnel enlargement (with a average of 1.8 mm) and 60% present with subchondral sclerosis in tibial plates. All patients with symptoms suggesting anterior instability shown anterior displacement of the tibia and sclerosis areas, yet only one has femoral tunnel

PROCEDURE IN DETAIL: The patient was brought into the operating room, after satisfactory anesthesia, was placed in the left lateral dicubitis position. The right hip was prepped and draped. A previous made incision was reopened over the greater trochanter and carried down to Illiotibial (IT) band. The IT band was opened in the direction of the skin incision. The anterior 1/3 of the gluteus medius/minimus group was reflected off the trochanter over to the anterior brim of the pelvis. The hip was dislocated. The femoral component was easily removed. It was loose in the cement. The polyethylene was loose and easily removed. There was a lot of cement in and around the acetabulum. We debridement most of this. There was a wired mesh plug that went medially into the pelvis that was left in place. There was also one in the ishium that was quite stable and it was left in place. There was a large defect in the medial wall of the acetabulum about the size of a silver dollar.

An incision will be made in your hip. Your surgeon will take out any damaged cartilage and bone.

On April 11, 2014, I had the privilege of direct observation of a patient’s orthopedic surgery, from the pre-operative to post-operative setting. The patient with the initials N.R, which we will call Mrs. R, arrived to the hospital just prior to 6:30a.m. As the name implies, Mrs. R was a female patient, 76 years old with an admitting diagnosis of right hip osteoarthritis. Due to arthritis in her hip, Mrs. R’s ability to perform daily activities and participate in hobbies such as dancing has been extremely compromised over the last 2 years. The overall goal of Mrs. R’s surgery

A total hip replacement is when the ball of the hip joint (which is also known as the femoral head) and the socket ( also known as the acetabulum) are removed and replaced with prosthetic part. Most people who have this procedure suffer from either sever hip fracture, they were born with a hip condition, or they suffer from an acute chronic arthritis(Stuart Fischer md,2010). The most common reason for a total hip replacement is a form of arthritis(osteoarthritis). Patient have this surgery to relive chronic pain they are suffering from. Someone who is suffering from a damage or a disease joint will be in constant pain(Stuart Fischer md, 2010).

On examination, ROM of the glenohumeral joint shows flexion of 105 degrees and passive ROM of 110 degrees. Active ROM has improved since evaluation.

Total hip arthroplasty (THA), commonly known as hip replacement, is a reconstructive orthopedic procedure that involves the surgical excision of the head and proximal neck of the femur and removal of the acetabular cartilage and subchondral bone(A). The damaged joint is replaced with an implant that mimics the motion of the natural joint and is made from combinations of metal, plastic and/or ceramic components(D).

When an ACL is torn there is usually a whip-like snap of the lower extremity that can be observed as the ACL tears (Ireland, 1999, p.152). In visualizing this high-risk ”position of no return,” we comprehend the importance of a “get-down” knee-flexed, 2-footed balanced position (Ireland, 1999). In the no-return position, the hip abductors and extensors have shut down, and the pelvis and hip are uncontrolled.

A more recent surgical procedure, called a microfracture technique, has become more supported at the shoulder. 7 At the hip, McCarthy et al found 74% of patients with a labral pathology also had chondral lesions.18 The microfracture procedure is a technique that pierces subchondral bone to initiate the body’s natural response to injury. Through this, a pathway for cell migration to the chondral defect is formed where a clot will then become a stable scar of fibrocartilage and hyaline.19,8 This cartilaginous mixture can be seen as a disadvantage due to less mechanically stable fibrocartilage, making this scar mixture possibly more prone to future

Case Description: The subject of this study is a 78-year-old female with post open-reduction-internal fixation on right hip in June 2014. She typifies an excellent candidate for this study because of a previous right hip fracture due to fall, multiple joint pains due to the diagnosis of osteoarthritis, thoracolumbar dextro-scoliosis, lumbar spinal stenosis, has sleep apnea, hearing and vision deficits. Since May 2016, patient regularly participated in a once a week 45-minute Tai Chi program offered at the local YMCA.

Mrs. A, 76 years old, first came to the orthopedic surgeon with her painful hip in 2013 because she had progressive pain and functional limitations. Pain medication was not sufficient anymore. Because of a history with severe muscle- and joint pain, degenerative deviations of her back and breast cancer, she was first referred to a rheumatologist and for a bone scan to rule out other diagnoses. The diagnosis hip OA was confirmed by Xray and use of injection of local anesthetics in the hip. Mrs. A. has deliberately chosen her doctor, because of his surgical technique, the anterior minimal invasive surgery (AMIS) and the good experiences she heard from other people. Both the patient and the orthopedic surgeon agreed on planning THA.

This is just one of the many different causes of external snapping hip but is the main focus in this report. To relieve the patient of the pain the therapist used Active Release Techniques (ART). Active Release Techniques are a type of soft tissue therapy that involves patient movement and the therapist’s pressure to cause tension over scar tissue to relieve tightness of muscles and nerve trigger points. In the case of external snapping hip it relieves tension of the ITB and scar tissue around the region of the greater trochanter to stop the snapping of the ITB over the greater trochanter. The patient reported a 50% decrease in pain after 4 days and a total relief of pain after one month. Even after a one year visit the patient was still pain free and no snapping could be heard or palpable. Thus showing ART can be effective in treating external coxa saltans short term and long

According to Goodman and Fuller (2009) Osteoarthritis is divided into 2 classifications: Primary and secondary. Primary OA is a disorder of unknown cause which in the cascade of joint degeneration it is believed to be a related defect in the articular cartilage. Secondary OA has a known cause, which may be trauma, infection, hemarthrosis, osteonecrosis, or some condition Primary Osteoarthritis (OA) is the most common joint disorder in the world and often affects the knee and hip joints (Rubak, Svendsen, Soballe, & Frost, 2013). For patients with primary hip OA, pain and disability are the most important indications for total hip replacement (THR) (Rubake et al., 2013, p.486) Primary symptoms of OA include joint pain, stiffness, and limitation of movement. Disease progression is usually slow but can

A comparative anatomical analysis of sealed osteons in non-primate bone and human femora following hip replacements

A jaw dislocation happens when your lower jaw bone separates from your upper jaw bone. This injury is often caused by a very strong force to your jaw. Your doctor will put your lower jaw bone back in place. Any broken jaw bones will be held in place with plates and screws or wiring. Wires may be left in place for 6 to 8 weeks.